What is Maintenance of Certification (MOC)?

The ABMS Program for Maintenance of Certification (Program for MOC) serves the patients, families, and communities of the United States (the Public) and improves patient care by establishing high standards for ongoing learning, practice improvement, and assessment activities of diplomates who have achieved initial certification from one or more of the 24 ABMS Member Boards. 

The Program for MOC incorporates the six ABMS/ACGME Core Competencies of Practice-based Learning & Improvement; Patient Care & Procedural Skills; Systems-based Practice; Medical Knowledge; Interpersonal & Communication Skills; and Professionalism. The Program for MOC has an integrated four-part framework that addresses the following:


  1. Professional Standing and Professionalism
  2. Lifelong Learning and Self-Assessment
  3. Assessment of Knowledge, Skills, and Judgment
  4. Improvement in Medical Practice. The standards for ABMS Programs for MOC are common across the ABMS Member Boards while permitting relevant distinctions in programs among the specialties.


Standards for the ABMS Program for Maintenance of Certification (MOC)

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Although the 24 Medical Specialty Boards under the American Board of Medical Specialties utilize the same principle for MOC it is important to check the specific requirements posted under each different Boards.  

  •  2016 - Maintenance of Certification Comparison Chart This chart lists MOC requirements for each of the 24 specialty boards under the American Board of Medical Specialties (ABMS) and what reciprocating credits are offered if you are certified in more than one specialty. updated August 2016

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What is Bridges to Excellence?

  • Bridges to Excellence (BTE) is a not-for-profit organization developed by employers, clinicians, health care services, researchers, and other industry experts with a mission to create significant leaps in the quality of care by recognizing and rewarding health care providers who demonstrate that they have implemented comprehensive solutions in the management of patients and deliver safe, timely, effective, and patient-centered care.
  • BTE programs are designed around two key lessons gained from research and experience: 
    1. Measure what matters most—the handful of indicators that have truly significant clinical and financial impact. 
    2. Physicians who follow those quality measures will consistently provide better care at lower costs. Incentives only work if they are fair and designed to increase over time, so physicians who continually improve their practices are rewarded in kind.  
  • Bridges to Excellence Website - Browse the BTE Website for more detailed information on the program.
  • Available Incentive Programs in Houston - BlueCross and BlueShield of Texas (BCBSTX) is licensed as a sponsor of the Bridges to Excellence® (BTE) Diabetic Care Recognition program, Cardiac Care Recognition program, and Asthma Care Recognition program.  After the BTE Recognition program recognizes a physician, BCBSTX will attribute members with diabetes, cardiac disease, or asthma to a BTE recognized physician. BTE recognized physicians are asked to provide clinical biometric information and are eligible for a financial reward of: $150 per BCBSTX diabetes patient per year.  $100 per BCBSTX cardiac patient per year. $100 per BCBSTX asthma patient per year. 
  • For more information on participating in the program - please contact

Some specialty boards have a combination program that will allow physicians to participate in the BTE Recognition program as well as receive component 4 MOC points. 

For example:

  • The American Board of Internal Medicine has an approved BTE-Diabetes Practice Improvement Module (PIM) that will allow physicians to participate in both programs simultaneously. 
  • If you have already completed the BTE Recognition process you can also submit your data to ABIM using the Self Directed or Completed Project PIM to enter the data you have already collected. 
  • For more information on participating in the program- Call 713-524-4267 (ext. 263)

Created by HCMS | Updated MP August 2016